{"title":"Impact of Swallowing Assessment Using the Hyodo-Komagane Score on the Severity of Dysphagia and Medical Staff Workload.","authors":"Kota Matsuyama, Takeshi Igarashi, Miki Nozawa, Kazutaka Kashima, Hiroki Goto, Saeko Uemura, Tomohiko Yamauchi, Makoto Ito, Takeharu Kanazawa","doi":"10.1111/joor.13922","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The goal of dysphagia treatment is to ensure a safe and effective reduction in both dysphagia severity and medical staff workload.</p><p><strong>Objective: </strong>To investigate the correlation of the Hyodo-Komagane score with dysphagia severity and medical staff workload.</p><p><strong>Methods: </strong>This retrospective cohort study included 96 patients who were referred from other departments for swallowing evaluation from January to April 2021. The correlation between the Hyodo-Komagane score and dysphagia severity was assessed using the Food Intake LEVEL Scale (FILS) score, and its effect on the reduction in medical staff workload was examined using the feeding assistance level of the referred patients.</p><p><strong>Results: </strong>This study included 96 hospitalised patients, comprising 15 patients with neuromuscular diseases, eight patients with cardiovascular diseases, 12 patients with head and neck diseases (excluding otolaryngological diseases), 34 patients with internal medicine diseases and 27 patients with cerebrovascular diseases, who underwent swallowing evaluation. The FILS score and feeding assistance level significantly improved at discharge compared with that at referral. A significant correlation was observed between the FILS score and feeding assistance level. The Hyodo-Komagane score was correlated with the feeding assistance level at discharge but not at referral.</p><p><strong>Conclusion: </strong>The Hyodo-Komagane score may optimise rehabilitation and reduce dysphagia severity and medical staff workload, indicating its useful effect on dysphagia severity and medical staff labour.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.13922","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The goal of dysphagia treatment is to ensure a safe and effective reduction in both dysphagia severity and medical staff workload.
Objective: To investigate the correlation of the Hyodo-Komagane score with dysphagia severity and medical staff workload.
Methods: This retrospective cohort study included 96 patients who were referred from other departments for swallowing evaluation from January to April 2021. The correlation between the Hyodo-Komagane score and dysphagia severity was assessed using the Food Intake LEVEL Scale (FILS) score, and its effect on the reduction in medical staff workload was examined using the feeding assistance level of the referred patients.
Results: This study included 96 hospitalised patients, comprising 15 patients with neuromuscular diseases, eight patients with cardiovascular diseases, 12 patients with head and neck diseases (excluding otolaryngological diseases), 34 patients with internal medicine diseases and 27 patients with cerebrovascular diseases, who underwent swallowing evaluation. The FILS score and feeding assistance level significantly improved at discharge compared with that at referral. A significant correlation was observed between the FILS score and feeding assistance level. The Hyodo-Komagane score was correlated with the feeding assistance level at discharge but not at referral.
Conclusion: The Hyodo-Komagane score may optimise rehabilitation and reduce dysphagia severity and medical staff workload, indicating its useful effect on dysphagia severity and medical staff labour.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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